Individual
LINDA MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 LAS HUERTAS RD, PLACITAS, NM 87043-9126
(505) 771-0821
Mailing address
13 LAS HUERTAS RD, PLACITAS, NM 87043-9126
(505) 771-0821
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1057
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60700378
—
NM
Enumeration date
01/30/2007
Last updated
07/09/2007
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